Professional Documents
Culture Documents
JSA No 0013 Date Created Nov 19, 2018 Revision No. 0001
Work Permit System: Cold Work Permit Hot Work Permit Excavation Work Permit
Scaffolding Permit Electrical Work Permit Radiography Work Permit Crane Lifting Permit Other Work Permit
PPE Required:
Emergency Contact Number: Construction Supervisor: Abdul Rehman Contact No: 0559329971
Risk Residual
Job Step Potential Hazard Control Method
Rating Risk
2/6
SITE PERSONNEL CONTACT NUMBERS
050-864-7091
ENGR. MAHMOUD ZAKI PROJECT MANAGER
CIVIL GROUP
3/6
ELECTRICAL GROUP
MECHANICAL GROUP
4/6
Supervisor Name: Supervisor Signature: Date: .
Prepared by: KALEEM SARWAR Reviewed by: ABDUL AZIZ Reviewed by : Approved by:
Step 1
Consequences
5 – Severe Potential to be fatal. Permanent disability. Destruction of property or plant.
4 – Major Serious injury. Long term disability. Major damage to plant, property or environment.
3 – Moderate Potential for injury resulting in medical attention. Damage to plant, property or environment.
2 – Minor Injury requiring First Aid treatment and / or short term discomfort.
1 – Negligible Cause a near miss, needs to be reported
Step 2
Potential (Likelihood)
A – Almost Certain The event is expected to occur in most circumstances
B – Likely The event will probably occur in most circumstances
C – Possible The event might occur at some time
D – Unlikely The event could occur at some time
E– Rare The event may occur only in exceptional circumstances
5/6
Step 3
Matrix Consequences
Potential 1 – Negligible 2 – Minor 3 – Moderate 4 – Major 5 – Severe
A – Almost Certain M (9) S (15) S (19) H (24) H (25)
B – Likely L (7) M (11) S (18) S (21) H (23)
C – Possible L (5) L (6) M (13) S (17) H (22)
D – Unlikely L (3) L (4) M (10) M (14) S (20)
E– Rare VL (1) L (2) M (8) M (12) S (16)
Legend
Risk Rating
Activity to be re-planned and/or re-designed. If this is not possible, an independent Hazard Assessment of the activity is to be completed by the Project Manager prior
High
to completing the SWMS
Significant Activity Must be reviewed by Senior Site Management Representative and have identified risk controls built into the SWMS and work procedure
6/6